Individual
AUSTIN VERRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4460 LAKE ST, LAKE CHARLES, LA 70605-4312
(337) 478-6042
Mailing address
4403 PLEASANT DR, LAKE CHARLES, LA 70605-4419
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.022532
LA
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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